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HomeMy WebLinkAboutApplicationGørfield County BUILDING PERM¡T APPLICATIONRÉCÉIVED Community Development Department 108 8th street, Suite 401 Glenwood Springs, CO 81601 (9701s4s-8212 www.ga rflelC:çou¡ly.com TYPE OF CONSTRUCTION Demolitionn Commercial/Multi-Family E. Manufactured Home (Single or Multi-Level) RerooflY nesidential (SF, Duplex orTownhome) INVOTVED PARTIES owner: /tí/íît/ fr'l^l /1.0 wt'Phone: ú'1{t q{('lfq'/ Property 7.Mailing Address Email Address: Phone: (q1A | ?L3'1øllz f?lEAlL , (¡¡rvt B ul l¿ott/ /*/I'l ktf,tM BStSm* a E Contractor: Mailing Address Email Address: lr fr? /i)\ lWt(4none:r31-t¿ $nú - 3V "?Arch¡tect: 1-øo øa(r ^/Ø Mailing Address Email Address: VL / & lwl/d húlt h. QrutlrtNfu4,úo¡", Øa Phone: q 7,? - s lr7(t32t NT€ 6 c La e t Engineer: Manufactured Home lnstaller: Mailing Address Email Address: vg Mailing Address Email Address: Class of Work:firuew lL Garage:D ?,t PROJECT DETAILS Describe Work:¿?^lçn rc'r Ct,"tml trt?,nlrl lt"/ûî7y' þatttoøP FIL Job Address q/4 {z tttrztl p Assessor's Parcel Number:23 q 3 zq76tûoß { ^ô3ooa î *lPo"¿ h,b^/,", ¡O/aïøbck f 3 Property Size (5q. Ft. or Ar:res):f, o 3f a¿ # of Floors: I t*Ot tçzt ! ¡È 4tryvlo*d ølt Sub. Owner'r Valuation of Work: $0 Height:2 I Repair Sq. Ft. of Building: ttached Alteration Addition ffioetacheo Move/Relocation d and/or plans for compliance, the application may be placed on hold untilthe required information is provided. Work may not proceed without the issuance of a permit. The Building Division will collect a Plan Review fee at time of application submittal. The permit fee, as i | : well as any Road lmpact fees will be collected when the permit is issued. The permit application must be signed by the owner or by person having written authority from the'owner to act as their representative. Building cannot be occupied until a Certificate of Occupancy (CO) is issued. Using the building without a CO will be considered an illegal occupancy and may be grounds for vacating the premises. (Final/CO inspection requirements will be attached to your approved field set of plans.) I hereby acknowledge checklist. derstand and will abide by the requirements of this l,{tl Property Owner Print and Sign Date lo munityOWTS PROJECT DETAILS CONTINUED ElectricPropaneatural Gas Septic: Type of Heat:Other Permit #:mptDriveway Permit: NOTICE Author¡tv. This application for a Building Permit must be signed by the or an authorized agent. lf the signature below is not that of the Owner, the Owner, must be provided with this Application. Legal Access. A Building Permit cannot be issued without proof of legal and adequate access to the property for purposes of inspections by the Building Division. Other permits. Multiple separate permits may be required: (1) State Electrical Permit, (2) County OWTS Permit, (3) another permit required for use on the property identified above, e.g. State or County Highway/ Road Access or a State Wastewater Discharge Permit. Void permit. A Building Permit becomes null and void if the work authorized is not commenced within 180 days of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement. CERTIFICAT¡ON Owner of the property, described above, a separate letter of authority, signed by I hereby certify that I have read this Application and that the i understand that the Building Division accepts the Application, data submitted by me or on my behalf (submittals), based upon my certification as to accuracy' Assuming completeness of the submittals and approval of this Application, a Building Permit will be issued granting permission to me, as Owner, to construct the structure(s) and facilities detailed on the submittals reviewed by the Building Division. ln consideration of the issuance of the Building Permit, lagreethat land myagentswill comply with provisions of any federal, state or local law regulating the work and the Garfield County Building Code, OWTS regulations and applicable land use regulations (County Regulation(s)). I acknowledge that the Building permit may be suspended or revoked, upon notice from the County, if the location, construction or use of the structure(s) and facility(ies), described above, are not in compliance with County Regulation(s) or any other applicable law. I hereby grant permission to the Building Division to enter the property, described above, to inspect the work. I further acknowledge that the issuance of the Building Permit does not prevent the Building Official from: (1) requiring the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law. Review of this Application, including submittals, and inspections of the work by the Building Division do not constitute an acceptance of responsibility or liability by the County of errors, omissions or nformation contained above is true and correct. I along with the plans and specifications and other lawsrancehwitfederastateocadncolort,mneOwthat ptheAsncres.a acknowledge responsl bilitydiscrep utwitho itatim on architectrizedncluduthoingmyarestmirhandagents,nd UCo n ationstyRegul and/ or buiner, I hereby acknowledge that provided the required Property Owner Print and Sign unde nd the Notice and Certification above, as well as, have co and accurate to the best of mY 0 f( Dete I OFFICIAT USE ONIY Special Conditions:t7.962 7øt oPer¡t Feek Fee:Plan MiscManu home Fee: BP No {þ BalaPaid: '$2 Fees: 53 Zoning:occGrouo'=cks: -¡98 BUILDING / PLANNING DIVISION Date )7-ffi BuitdÍns.l Zo,nins PIan Review Checklist btTE - 55lCPermit Number: Æuildine l(,t -Drivewaypermit -/SurveYed Site Plan fumw- Planning/ Zoning Zoning Sign-Off lmpact Fees Grade/ Topography 40% níng lssues Subdivisíon Plat Property Line setback , /TnUlrUq {n. str..* setbacks 'F F4# Flood Plaìn Buîlding Height t/ræs- Qw,ry D. t|- Líst Fire Red Líne Plans/ StamPsl Sticker Atta ítions ion Signed n Reviewer to Sign AP plícation Parcellschedule No. 40# Snowload Letter- Manu. Homes Soils Report Department RevíewX8Ðò ation Determination/ Fees General Comments: T s. 5-l tþ î' 74 os '4 2b,8?¿ Gw 7236 * 32 > 5b"4 4 I or<ôÇo 7r/5Æ 1lß'rn' yrß 2+øn lb ,521 7t4¡5t